Healthy People 2020 Objective Topic Areas

Healthy People 2020 Objective Topic Areas and Page Numbers

Access to Health Services...2 Adolescent Health...8 Arthritis, Osteoporosis, and Chronic Back Conditions...15 Blood Disorders and Blood Safety...21 Cancer...27 Chronic Kidney Disease...35 Dementias, including Alzheimer's Disease...43 Diabetes...45 Disability and Health...51 Early and Middle Childhood...59 Educational and Community-Based Programs...64 Environmental Health...87 Family Planning...106 Food Safety...118 Genomics...125 Global Health...127 Health Communication and Health Information Technology...130 Healthcare-Associated Infections...136 Health-Related Quality of Life and WellBeing * Hearing and Other Sensory or Communication Disorders...138

Heart Disease and Stroke...150 HIV...160 Immunization and Infectious Diseases...166 Injury and Violence Prevention...185 Lesbian, Gay, Bisexual, and Transgender Health * Maternal, Infant, and Child Health...202 Medical Product Safety...221 Mental Health and Mental Disorders...225 Nutrition and Weight Status...230 Occupational Safety and Health...242 Older Adults...247 Oral Health...253 Physical Activity...263 Preparedness...273 Public Health Infrastructure...276 Respiratory Diseases...286 Sexually Transmitted Diseases...294 Sleep Health...300 Social Determinants of Health * Substance Abuse...302 Tobacco Use...315 Vision...331

* Objectives for these topic areas are under development.

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Healthy People 2020 Summary of Objectives

Access to Health Services

Number Objective Short Title

AHS?1

Persons with health insurance

AHS?2

Health insurance coverage for clinical preventive services

AHS?3

Persons with usual primary care provider

AHS?4

Practicing primary care providers

AHS?5

Source of ongoing care

AHS?6

Inability to obtain or delay in obtaining necessary medical care, dental care or prescription medicines

AHS?7

Receipt of evidence-based clinical preventive services

AHS?8

Rapid prehospital emergency care

AHS?9

Wait time at emergency departments

AHS-1 2

Topic Area: Access to Health Services

AHS-1: Increase the proportion of persons with health insurance. AHS-1.1 Medical insurance.

Target: 100 percent. Baseline: 83.2 percent of persons had medical insurance in 2008. Target setting method: Total coverage. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-1.2 (Developmental) Dental insurance. Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-1.3 (Developmental) Prescription drug insurance. Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-2: (Developmental) Increase the proportion of insured persons with coverage for clinical preventive services. Potential data sources: Children's Health Insurance Program (CHIP), CMS; AGing Integrated Database (AGID), AoA; CMS claims data and Medicare Current Beneficiary Survey (MCBS), CMS.

AHS-3: Increase the proportion of persons with a usual primary care provider. Target: 83.9 percent. Baseline: 76.3 percent of persons had a usual primary care provider in 2007. Target setting method: 10 percent improvement. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

AHS-4: (Developmental) Increase the number of practicing primary care providers. AHS-4.1 (Developmental) Medical doctor.

Potential data source: American Medical Association (AMA) Masterfile, AMA. AHS-4.2 (Developmental) Doctor of osteopathy.

Potential data source: American Osteopathic Association (AOA) Masterfile, AOA.

AHS-2 3

AHS-4.3 (Developmental) Physician assistant. Potential data source: American Academy of Physician Assistants (AAPA) Census, AAPA.

AHS-4.4 (Developmental) Nurse practitioner. Potential data source: National Provider Identifier (NPI) Registry, CMS. AHS-5: Increase the proportion of persons who have a specific source of ongoing care.

AHS-5.1 All ages. Target: 95.0 percent. Baseline: 86.4 percent of persons of all ages had a specific source of ongoing care in 2008. Target setting method: 10 percent improvement. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-5.2 Children and youth aged 17 years and under. Target: 100 percent. Baseline: 94.3 percent of children and youth aged 17 years and under had a specific source of ongoing care in 2008. Target setting method: 6.0 percent improvement. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-5.3 Adults aged 18 to 64 years. Target: 89.4 percent. Baseline: 81.3 percent of persons aged 18 to 64 years had a specific source of ongoing care in 2008. Target setting method: 10 percent improvement. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

AHS-5.4 Adults aged 65 years and older. Target: 100 percent. Baseline: 96.3 percent of persons aged 65 years and older had a specific source of ongoing care in 2008. Target setting method: 3.8 percent improvement.

AHS-3 4

Data source: National Health Interview Survey (NHIS), CDC.

AHS-6: Reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines.

AHS-6.1 Individuals: medical care, dental care, or prescription medicines. Target: 9.0 percent. Baseline: 10.0 percent of all persons were unable to obtain or delayed in obtaining necessary medical care, dental care, or prescription medicines in 2007. Target setting method: 10 percent improvement. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

AHS-6.2 Individuals: medical care. Target: 4.2 percent. Baseline: 4.7 percent of all persons were unable to obtain or delayed in obtaining necessary medical care in 2007. Target setting method: 10 percent improvement. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

AHS-6.3 Individuals: dental care. Target: 5.0 percent. Baseline: 5.5 percent of all persons were unable to obtain or delayed in obtaining necessary dental care in 2007. Target setting method: 10 percent improvement. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

AHS-6.4 Individuals: prescription medicines. Target: 2.8 percent. Baseline: 3.1 percent of all persons were unable to obtain or delayed in obtaining necessary prescription medicines in 2007. Target setting method: 10 percent improvement. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

AHS-4 5

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